A 50-year-old woman receiving an annual mammogram is an example of which type of prevention? 

When performing a physical exam on a pediatric patient you note an extra heart sound. Which heart sound can be considered a normal variation in children?

For a 4 month old child, what temperature reading would be considered febrile?

For the patient in the previous question, what is the most appropriate diagnostic test that will substantiate or confirm your top differential diagnosis?

You have diagnosed a 2-year-old child with otitis media. His last episode of otitis media was 6 months ago. What antibiotic will you place patient on considering he has no allergies? 

Which of the following attributes is used to assist screen readers with describing images?

A 12-year-old boy is brought to your office by his mother. He is complaining of right ear pain for the last 24 hours. The mother states the patient spent the last four days swimming in the pool and began to complain of pain in the right ear yesterday afternoon. The patient also states he has been using cotton swabs in his ear to remove excess water. On examination, the patient is afebrile. Otoscope examination is significant for clear fluid material in the ear canal, which is inflamed. There is tenderness to the pinna.   What is the most likely diagnosis?  

You have diagnosed a 2-year-old child with otitis media. His last episode of otitis media was 6 months ago. What antibiotic will you place patient on considering he has no allergies? 

A non-toilet trained infant is brought into the clinic for a 2 day history of a suspected viral illness causing diarrhea. When performing your history/review of systems, what response would warrant referral to the emergency department for aggressive IV rehydration?

When checking for the red reflex on a 2-year-old female during a well-child visit, the nurse practitioner notes a white reflection on the child’s left pupil. Which of the following conditions should be ruled out?